Film Screening Partnership Request
Email address *
Name:
Your answer
Name of your Organization
Your answer
Type of organization
Organization Website
Your answer
Tell us about your Screening
What format would you like to receive the film?
Screening Venue
Your answer
Street Address:
Your answer
Postal Code / Zip Code
Your answer
City
Your answer
Province/State
Your answer
Country
Your answer
What date would you like to screen the film?
MM
/
DD
/
YYYY
Will this be a ticketed event or a free screening?
Estimated Attendance
Are you interested in:
Anything else you wish to tell us?
Your answer
A copy of your responses will be emailed to the address you provided.
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